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1801068531
THAEDRA DENICE MERCADEL
DOUGLASVILLE, GA
NPI
1801068531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 869784)
Enumeration Date
2008-04-02
Last Update Date
2011-08-22
Business Address
Dr. THAEDRA DENICE MERCADEL M.D.
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135-3366
Phone number: 770-949-5535
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Mailing Address
Dr. THAEDRA DENICE MERCADEL M.D.
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135-3366
Phone number: 770-949-5535
Copy
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